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Organization

CHOI PROFESSIONAL DENTAL CORPORATION

Active
Other names
Choice Family Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREA K. CHOI D.D.S. (OWNER)
(951) 940-5771
Entity
Organization

Contact information

Practice address
1688 N PERRIS BLVD, SUITE G1, PERRIS, CA 92571-4709
(951) 940-5771
(951) 940-5773
Mailing address
1688 N PERRIS BLVD, SUITE G1, PERRIS, CA 92571-4709
(951) 940-5771
(951) 940-5773

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
41715
CA
122300000X
Dentist
54567
CA

Other

Enumeration date
02/03/2012
Last updated
02/03/2012
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